Individual provider Active NPI

Thomas William McEwan, MD

  • Plastic and Reconstructive Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1124255666
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2015022839 Issued in MO
Practice address
5204 N Belt Hwy
Saint Joseph, MO 64506-1211
Phone
(816) 383-8180
Fax
(816) 233-3983
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 2009 MO
Plastic and Reconstructive Surgery Physician 2086S0122X 2015022839 MO Primary

Addresses

Primary practice location

5204 N Belt Hwy
Saint Joseph, MO 64506-1211

Mailing address

5204 N Belt Hwy
Saint Joseph, MO 64506-1211
Phone (816) 383-8180

Other practice location 1

4320 Wornall Rd
Suite 530
Kansas City, MO 64111-5941
Phone (816) 932-0288

Other identifiers 1

IdentifierTypeStateIssuer
2015022839OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150715001429 MO Practitioner - Plastic and Reconstructive Surgery 8325272925 Reassigns benefits to 2 organizations
I20240827004716 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 8325272925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Missouri, Columbia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

5204 N Belt Hwy Entrance a
Mosaic Life Care
St Joseph, MO 64506-1211
Phone (816) 383-8180

5210 N Belt Hwy
Suite D
Saint Joseph, MO 64506-1211

5210 N Belt Hwy Entrance B
Mosaic Life Care
Saint Joseph, MO 64506-1211
Phone (816) 271-1330

5210 N Belt Hwy Entrance C
Mosaic Life Care
St Joseph, MO 64506-1211
Phone (816) 271-1361

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2009MOMDInternal Medicine Physician
2015022839MOMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medical Center - Maryville CurrentSince May 29, 2024 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Heartland Regional Medical Center CurrentSince May 29, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince May 29, 2024 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince May 29, 2024 Accepting new patients
Tampa Face and Body, LLC CurrentSince Sep 27, 2023 Accepting new patients

Locations

10860 Sheldon Rd
Tampa, FL 33626
Phone (727) 641-3449

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5204 N Belt Hwy
Ste A
Saint Joseph, MO 64506
Phone (816) 383-8180

5204 N Belt Hwy
#A
Saint Joseph, MO 64506
Phone (816) 383-8180

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1124255666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061211",
            "telephone_number": "816-383-8180",
            "fax_number": "816-233-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061211",
            "telephone_number": "816-383-8180",
            "fax_number": "816-233-3983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Wornall Rd",
            "address_2": "Suite 530",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641115941",
            "country_code": "US",
            "telephone_number": "816-932-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2009",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2015022839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2015022839",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.